Kizzy Howard Dixon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4859 Issued in LA

Practice address

206 Belle Plaine Ave
Lafayette, LA 70506-9250

Phone

(337) 501-1128

NPI assigned

Jan 22, 2012

Last updated

Jan 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MK Dixon Counseling & Consulting LLC

  dba Breakthrough Therapeutic Services

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1083425409
  Medicare reassignment NPD Authorized official
• MK Dixon Counseling & Consulting LLC

  dba Breakthrough Therapeutic Services Franklin

  • Community/Behavioral Health Agency
  • Franklin, LA
  • NPI 1881492635
  NPD Authorized official
• MK Dixon Counseling & Consulting LLC

  dba Breakthrough Therapeutic Services

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1306365457
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327190400000",
    "number": "1801167978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BELLE PLAINE AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069250",
            "telephone_number": "337-501-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELLE PLAINE AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069250",
            "telephone_number": "337-501-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KIZZY",
        "middle_name": "HOWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-22",
        "last_updated": "2012-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thom Dinh, OD
• Direct Medical Staffing, LLC
• Rebecca Jean Disatell
• Discovery Heathcare & Wellness
• Madison Dismuke
• DME Services of Louisiana, LLC
• DMX Diagnostics of Baton Rouge, Inc
• DMX Diagnostics of Lafayette, LLC
• DMX Diagnostics of Lake Charles, Inc.
• Dmxmetairie, LLC

• Professional Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.